Virtual Event Request

1

Thank you for your interest in scheduling a WallBuilders' speaker for your event. We typically schedule a speaker 6-9 months in advance of an event.

Due to the volume of requests received, it may take several weeks to up to two months (or longer) to provide an update on speaker availability and confirm your event.

Please keep this in mind when asking for a deadline for response. While we will make every effort to respond as quickly as possible, we appreciate your understanding and patience during this process.

2

Virtual event fees are typically billed at $500 for a virtual presentation. Would you like to proceed?* This field is required.

YesNo

3

Is this your group's first time to request a WallBuilders Speaker?* This field is required.

YESNO

4

Type of Event* This field is required.

5

Your Speaker Preference* This field is required.Who would be your first choice for a speaker?

Tim Barton

David Barton

6

If your preferred speaker is not available, would you like us to transfer your request to another of WallBuilders' speakers?

YesNo

7

Event sponsor agrees to pay the event fee by the due date given in the contract. WallBuilder Presentations reserves the right to cancel participation if payment is not received by the requested date.* This field is required.

I acceptI don’t accept

8

The Speaker's presentation may not be recorded or distributed unless prior permission has been secured from WallBuilder Presentations.* This field is required.

I acceptI don’t accept

9

Media Platform Used* This field is required.

10

Event Date* This field is required.

mm-dd-yyyy

11

Event Start Time* This field is required.

12

Speaker's Involvement* This field is required.Please tell us how long you want the speaker to speak and what you expect the speaker to do - just present, leave time for questions, etc.

13

Other ParticipantsPlease list any VIP's or Individuals the speaker might want to know will be present at your event

14

Expected Virtual Attendance* This field is required.

15

Description of Audience* This field is required.

16

Deadline to Receive an AnswerRequest cancellation deadline if no response has been received.

Date

17

CommentsAnything else we should know?

18

Organization or Show/Program Name* This field is required.

19

Organization or Show Website* This field is required.

20

Is this a Church or Ministry?* This field is required.

YESNO

21

Host/Interviewer Name* This field is required.

Title or Prefix

First Name

Last Name

22

Your Name* This field is required.

Title or Prefix

First Name

Last Name

23

Are you a Pastor?* This field is required.

PastorNot a Pastor

24

Your Phone Number* This field is required.

Please enter a valid phone number

25

Your Email* This field is required.

example@example.com

26

Would you like to receive email updates and newsletters from WallBuilders?

YesNo

27

AddressPlease provide us with your address if you would like to know when a speaker is in your areas.

Street Address

City

State / Province

Postal / Zip Code

Country

28

How did you hear about WallBuilders?* This field is required.

29

Name of Audio/Visual Coordinator* This field is required.

30

A/V Contact Phone Number* This field is required.

Please enter a valid phone number

31

A/V Email* This field is required.

example@example.com

32

Data Source

Events

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Thank you for your interest in a virtual event!

You must agree to all terms and conditions to submit this form. If you would still like to schedule a virtual event, please click the "Previous" button below and agree to the term to continue this scheduling process. We appreciate your understanding!